A nurse in the emergency room is assessing a patient who was brought in following a seizure. The nurse suspects the patient may have bacterial meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
Assess the cranial nerves.
Decrease environmental stimuli.
Close the room.
Administer an antipyretic.
The Correct Answer is B
Choice A reason: Assessing the cranial nerves is important, but it is not the immediate next step after implementing droplet precautions for suspected bacterial meningitis.
Choice B reason: Decreasing environmental stimuli can help reduce the risk of seizures and is a supportive measure for a patient with suspected bacterial meningitis.
Choice C reason: Closing the room is part of implementing droplet precautions but is not an action that needs to be initiated by the nurse as it should already be in place.
Choice D reason: Administering an antipyretic may be necessary if the patient has a fever, but it is not the immediate next action after droplet precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Renal function is not typically reestablished during the oliguric phase of acute kidney injury; this phase is characterized by a significant reduction in urine output due to renal tubule damage.
Choice B reason: BUN and creatinine levels usually increase during the oliguric phase because the kidneys' ability to filter and excrete these waste products is compromised.
Choice C reason: The oliguric phase is defined by a urine output of less than 400 mL per 24 hours, which is a result of decreased kidney function and damage to the renal tubules.
Choice D reason: The GFR does not recover during the oliguric phase; instead, it is typically low due to reduced kidney function. Recovery of GFR occurs later in the recovery phase of acute kidney injury.
Correct Answer is C
Explanation
Choice A reason: Physical therapy may be prescribed postoperatively to aid in recovery, but it does not directly interfere with the function of a pacemaker.
Choice B reason: Checking serum cardiac enzyme levels is a common practice after heart surgery to assess for any damage to the heart muscle, which would not typically require clarification in the context of pacemaker insertion.
Choice C reason: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is Incompatible, due to the risk of the magnetic field affecting the device's operation.
Choice D reason: A low sodium diet may be recommended for patients with heart conditions to manage blood pressure and fluid retention, but it is not directly related to the care of a pacemaker.
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